Pathology EMQ template.

Name:

Candidate number:

Theme:

 

OPTION LIST

 

A	Alcohol abuse	I	Steroid Abuse
B	Cushing’s Disease	J	Type II Diabetes
C	Cushing’s Syndrome	K
D	Hypothyroidism (Primary)	L
E	Hypothyroidism (Secondary)	M
F	PCOS	N
G	Pregnancy	O
H	Simple Obesity	P

 

 

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

 

1. A 35 year old office worker presents to her GP with marked weight gain and complains that her face is fuller and that she has a ‘pot belly’. Dexamethasone suppression test is performed and measured cortisol is suppressed.

 

 

2. A 20 year old man is found to have a BMI >30 by his GP. On further enquiry he is found to be unemployed, relatively inactive and regularly eats fast food.

 

 

3. A 45 year old obese man presents to his GP with yellowed sclera. On examination he possesses a palpable liver and reveals that a family member had recently died.

 

 

4. A 50 year old obese woman visits her GP for a routine examination. She is found to have a loss of sensation on her lower leg and foot and has problems reading the Snellen chart.

 

 

5. A 40 year old housewife presents to her GP with weight gain and lethargy. Blood tests reveal elevated TSH and low T4.

 

 

 

ANSWERS

1. B

2. H

3. A

4. J

5. D